Exploring the health benefits of a mobile-based multidomain lifestyle program for older adults living in assisted living facilities

Abstract

Background Cognitive decline stands as a significant factor contributing to disability and dependency among older adults. Multi-domain lifestyle (MDL) interventions are widely recognized for their effectiveness in preserving cognitive functioning in older adults with dementia. However, little is known about MDL interventions using technology-based approaches in older adults residing in assisted living facilities. This qualitative study aims to explore the benefits of a mobile-based multidomain application, the Silvia Program, in enhancing the cognitive functioning of residents in assisted living facilities. Methods We conducted semi-structured, in-depth interviews to capture the health-related benefits and perspectives of the Silvia Program after a 12-week period. Ten participants (70% female; age range 66–93), all at risk of dementia (with MoCA scores between 18 and 25), were recruited from two local community assisted living facilities in the Midwestern area. Five steps of high-quality analysis of interview transcript was conducted. Results We identified three salient themes resulting from Silvia Program participation: (a) Cognitive benefits, (b) psychological wellbeing, (c) Health-related behavior management, (d) Technology anxiety, and (e) Content issues. Discussion The present study provides suggestive evidence for an overall positive effect of the use of the Silvia Program on the cognitive functioning among residents in ALFs. Practical implications and further discussion are addressed in this paper.